NPI | 1407620214 |
---|---|
Doing Business As | CHAMPLAIN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CASEY R LONABOCKER Vice President Operations 617-665-7241 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-12-27 |